DR. JOHN WILLIAM BRADY JR. (NPI# 1801888474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801888474 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM BRADY JR. |
| Credential | M.D. |
| Practice Address |
8650 Sudley Road Suite 310 Manassas VA 20110-4416 |
| Practice Telephone | 7033693376 |
| Practice Fax Number | 7033691118 |
| Mailing Telephone | 7033693376 |
| Mailing Fax Number | 7033691118 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101019666 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICAL LICENSE NUMBER | 0101019666 | 01 |
| PTAN | 00X776J01 | 01 | |
| DEA NUMBER | AB7771808 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489198 | John Matthew Brady | Behavioral Analyst | 1020 Gilbert Rd, Rockville, MD 20851-1317 | 2014-09-04 |
| 1558706101 | John Richard Brady Iv | Licensed Vocational Nurse | 3047 Lloyd St, San Diego, CA 92117-6033 | 2013-05-08 |
| 1174860738 | John Samuel Brady | Pharmacist | 16025 N 33rd Ave, Phoenix, AZ 85053-3814 | 2013-01-15 |
| 1205141678 | John Brady | Dentist | 515 7th Ave Ste 220, Fairbanks, AK 99701-4949 | 2010-08-10 |
| 1568600872 | John P. Brady | Dentist | 15 Canal Rd., Dentserv, Pelham Manor, NY 10803-9905 | 2009-01-23 |
| 1174694236 | John Joseph Brady Jr. | Dentist | 28 E Broad St, W Hazleton, PA 18202-3810 | 2006-11-12 |
| 1639118383 | John E Brady | Family Medicine | 10234 Warwick Blvd, Newport News, VA 23601 | 2006-06-06 |
| 1154382513 | John Brady | Family Medicine | 1801 Us Highway 18 E, Clear Lake, IA 50428-2162 | 2006-03-28 |
| 1548257546 | John Greg Brady | Dermatology | 798 Hausman Rd, Suite 310, Allentown, PA 18104-9108 | 2005-10-04 |
| 1205248937 | John Paul Brady Iv | Internal Medicine | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2014-05-29 |
| Street Address |
8650 SUDLEY ROAD SUITE 310 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982863569 | John W. Brady, Jr., M.d. Pllc | Specialist | 8650 Sudley Road, Suite 310, Manassas, VA 20110-4416 | 2008-06-09 |
| 1003963661 | Drs Farr Wampler Henson & Williams Ltd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8650 Sudley Road, #206, Manassas, VA 20110 | 2007-01-05 |
| 1699822247 | Drs Farr Wampler Henson & Williams Ltd | Surgery | 8650 Sudley Road, #206, Manassas, VA 20110 | 2007-01-05 |
| 1689731234 | Drs Farr Wampler Henson & Williams | Surgery | 8650 Sudley Road, #206, Manassas, VA 20110 | 2007-01-02 |
| 1780785451 | Eugene J Louieng, Md, PC | Obstetrics & Gynecology | 8650 Sudley Road, Suite 303, Manassas, VA 20110 | 2006-09-26 |
| 1205868338 | Kenneth I Henson | Surgery | 8650 Sudley Road, # 206, Manassas, VA 20110 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417274812 | Kimberly Arrington | Dermatology | 7960 Donegan Dr Ste 217, Manassas, VA 20109-8236 | 2010-04-23 |
| 1366510521 | Jennell E Nelson | Dermatology | 7960 Donegan Dr, Suite 217, Manassas, VA 20109-8236 | 2006-12-04 |
| 1992005375 | Nelson Dermatology, Pllc | Dermatology | 8140 Ashton Ave, Suite 112, Manassas, VA 20109-5698 | 2010-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428709 | Clinical Dermatology Center, LLC | Dermatology | 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 | 2020-05-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1194383372 | Clarity Acne and Aesthetics LLC | Dermatology | 3345 Bridge Rd Ste 900, Suffolk, VA 23435-1848 | 2019-06-03 |
| 1356821235 | Sdm Virginia LLC | Dermatology | 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 | 2018-08-20 |
| 1851877336 | Keri Church | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2018-07-17 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1710479936 | Integrated Dermatology of Gloucester, LLC | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 2018-06-04 |
| 1477077071 | Dulles Dermatology Associates, Pllc | Dermatology | 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 | 2017-07-26 |
| 1487186466 | Integrated Dermatology of Reston, LLC | Dermatology | 1886 Metro Center Dr Ste 650, Reston, VA 20190-5294 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JOHN WILLIAM BRADY JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.